| NPI | 1053454934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME92844) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01083325A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 876242) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2021-11-10 |